OrganizationCactus Roots Marriage, Family, And Child Counseling Inc.Marriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4050 Katella Ave Ste 213, Los Alamitos, CA 90720-3486(562) 444-8951PECOS EnrollmentBased on the most recent information from CMS, provider Cactus Roots Marriage, Family, And Child Counseling Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1801483482Provider TypeOrganizationFull NameCactus Roots Marriage, Family, And Child Counseling Inc.SubpartNoEnumeration Date12/29/2020Last Updated12/29/2020Contact InformationPractice LocationPractice Address4050 Katella Ave Ste 213, Los Alamitos, CA 90720-3486Phone(562) 444-8951FaxUnlisted FaxMailing LocationMailing Address4050 Katella Ave Ste 213, Los Alamitos, CA 90720-3486Phone(562) 444-8951FaxUnlisted FaxAuthorized OfficialNameTorres, Stephanie (Ceo)Phone(562) 444-8951Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1851704399DescriptionOtherIssuerNPI INDIVIDUAL TYPE 1California